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Artificial Nutrition in Patients with Advanced Malignancy
Ramses Saavedra1, Bridget N Fahy2
1Department of Surgery, University of New Mexico, 1 University of New Mexico, MSC 07-4025, Albuquerque, NM 87131, USA.
Surgical Oncology Clinics of North America
|May 31, 2021
Summary
Artificial nutrition can combat cancer-related malnutrition and cachexia. This review offers guidelines on patient selection, administration routes, and decision-making for advanced cancer patients receiving artificial nutrition therapy.
Area of Science:
- Oncology
- Clinical Nutrition
- Medical Therapeutics
Background:
- Cancer is a progressive disease often leading to malnutrition and cachexia.
- Artificial nutrition is a critical medical therapy for managing malnutrition in cancer patients.
Purpose of the Study:
- To review factors influencing the decision to initiate artificial nutrition in cancer patients.
- To provide guidelines for appropriate decision-making regarding artificial nutrition for palliative and advanced cancer patients.
Main Methods:
- Literature review of factors affecting artificial nutrition decisions.
- Analysis of patient health, technical, and oncologic factors.
- Evaluation of available routes of administration.
Main Results:
- Identifies key considerations for artificial nutrition therapy in advanced cancer.
- Outlines patient profiles likely to benefit from or not benefit from therapy.
- Discusses various routes of administration for artificial nutrition.
Conclusions:
- Appropriate decision-making for artificial nutrition requires consideration of multiple patient-specific and treatment-related factors.
- Guidelines are provided to optimize the use of artificial nutrition in palliative and advanced cancer care.
- Artificial nutrition can be a valuable intervention when judiciously applied.
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